新式经阴道盆腔脏器脱垂手术与经阴道子宫切除联合阴道前后壁修补术治疗盆腔脏器脱垂的临床疗效  

The clinical efficacy of new transvaginal pelvic organ prolapse surgery and transvaginal hysterectomy combined with anterior and posterior vaginal wall repair in the treatment of hysterectomy

作　　者：宋晓霞 杨火梅 廖莹 SONG Xiaoxia;YANG Huomei;LIAO Ying(Department of Gynecology,Xinyu People's Hospital,Xinyu,Jiangxi,338000,China)

机构地区：[1]新余市人民医院妇科,江西新余338000

出　　处：《当代医学》2024年第22期34-37,共4页Contemporary Medicine

基　　金：江西省卫生健康委科技计划项目(202311783)。

摘　　要：目的比较新式经阴道盆腔脏器脱垂手术与经阴道子宫切除联合阴道前后壁修补术治疗盆腔脏器脱垂的临床疗效。方法选取2020年6月至2022年12月新余市人民医院收治的82例盆腔脏器脱垂患者作为研究对象,根据是否满足保留子宫的条件分为新式阴道组(n=47)与子宫切除组(n=35)。新式阴道组采用新式经阴道盆腔脏器脱垂手术,子宫切除组采用经阴道子宫切除联合阴道前后壁修补术。比较两组手术时间、住院时间、住院费用、盆底肌力等级、术后并发症、不良反应发生率及术后3、6个月生命质量。结果新式阴道组手术时间、住院时间均短于子宫切除组,住院费用少于子宫切除组,差异有统计学意义(P<0.05)。新式阴道组盆底肌力等级优于子宫切除组,差异有统计学意义(P<0.05)。新式阴道组术后并发症发生率为19.15%,低于子宫切除组的40.00%,差异有统计学意义(P<0.05)。新式阴道组术后不良反应发生率为14.89%,低于子宫切除组的34.29%,差异有统计学意义(P<0.05)。术后6个月,两组健康调查量表36(36-item short form health survey,SF-36)评分均高于术后3个月,且术后3、6个月,新式阴道组SF-36评分均高于子宫切除组,差异有统计学意义(P<0.05)。结论新式经阴道盆腔脏器脱垂手术治疗盆腔脏器脱垂患者的手术时间短、费用少,患者术后盆底功能恢复快,并发症及不良反应发生率低,对患者的生命质量影响小。Objective To compare the clinical efficacy of new transvaginal pelvic organ prolapse surgery and transvaginal hysterectomy combined with anterior and posterior vaginal wall repair in the treatment of hysterectomy.Methods A total of 82 patients with pelvic organ prolapse admitted to Xinyu People's Hospital from June 2020 to December 2022 were selected as the study subjects,they were divided into the new vaginal group(n=47)and the hysterectomy group(n=35)according to whether the conditions of preserving uterus were met.The new vaginal group underwent transvaginal pelvic organ prolapse surgery,and the hysterectomy group underwent transvaginal hysterectomy combined with anterior and posterior vaginal wall repair.The operation time,hospitalization time,hospitalization cost,pelvic floor muscle strength grade,incidence of postoperative complications and incidence of adverse reaction,quality of life at 3 and 6 months after surgery were compared between the two groups.Results The operation time and hospitalization time in the new vaginal group were shorter than those in the hysterectomy group,and the hospitalization cost was lower than that in the hysterectomy group,the differences were statistically significant(P<0.05).The grade of pelvic floor muscle strength in the new vaginal group was better than that in the hysterectomy group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the new vaginal group was 19.15%,which was lower than 40.00%in the hysterectomy group,and the difference was statistically significant(P<0.05).The incidence of postoperative adverse reactions in the new vaginal group was 14.89%,which was lower than 34.29%in the hysterectomy group,and the difference was statistically significant(P<0.05).At 6 months after surgery,the 36-item short form health survey(SF-36)scores of the two groups were higher than those at 3 months after surgery,and at 3 and 6 months after surgery,the SF-36 scores in the new vaginal group were higher than those in the hysterect

关 键 词：盆腔脏器脱垂 子宫切除 阴道前后壁修补术 生命质量 

分 类 号：R71[医药卫生—妇产科学]